Individual provider Active NPI

Sophia Katchis, LCSW

  • Clinical Social Worker
  • Fredericksburg, VA
National Provider Identifier
1982825501
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904003157 Issued in VA
Practice address
2217 Princess Anne St
Suite 105
Fredericksburg, VA 22401-3353
Phone
(804) 928-3571
NPI assigned
May 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904003157 VA Primary

Addresses

Primary practice location

2217 Princess Anne St
Suite 105
Fredericksburg, VA 22401-3353

Mailing address

3911 Timber Ridge Rd
Midlothian, VA 23112-4542
Phone (804) 928-3571

Other identifiers 2

IdentifierTypeStateIssuer
263769OtherVAMDIPA
454303OtherVABLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982825501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3911 TIMBER RIDGE RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231124542",
            "telephone_number": "804-928-3571"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2217 PRINCESS ANNE ST",
            "address_2": "SUITE 105",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224013353",
            "telephone_number": "804-928-3571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATCHIS",
        "first_name": "SOPHIA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904003157",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MDIPA",
            "identifier": "263769",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "454303",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.